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Organization
NORTH GEORGIA PEDIATRIC THERAPIES, LLC
Active
Organization
NORTH GEORGIA PEDIATRIC THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON E MINNICK PT, DPT (OWNER)
(423) 313-5895
Entity
Organization
Contact information
Practice address
1821 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4021
(706) 861-7471
(706) 861-7472
Mailing address
1821 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4021
(706) 861-7471
(706) 861-7472
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/21/2019
Last updated
06/21/2022
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